Skip to main content
Top
Published in: BMC Public Health 1/2011

Open Access 01-12-2011 | Research article

What factors are associated with recent intimate partner violence? findings from the WHO multi-country study on women's health and domestic violence

Authors: Tanya Abramsky, Charlotte H Watts, Claudia Garcia-Moreno, Karen Devries, Ligia Kiss, Mary Ellsberg, Henrica AFM Jansen, Lori Heise

Published in: BMC Public Health | Issue 1/2011

Login to get access

Abstract

Background

Intimate partner violence (IPV) against women is a global public health and human rights concern. Despite a growing body of research into risk factors for IPV, methodological differences limit the extent to which comparisons can be made between studies. We used data from ten countries included in the WHO Multi-country Study on Women's Health and Domestic Violence to identify factors that are consistently associated with abuse across sites, in order to inform the design of IPV prevention programs.

Methods

Standardised population-based household surveys were done between 2000 and 2003. One woman aged 15-49 years was randomly selected from each sampled household. Those who had ever had a male partner were asked about their experiences of physically and sexually violent acts. We performed multivariate logistic regression to identify predictors of physical and/or sexual partner violence within the past 12 months.

Results

Despite wide variations in the prevalence of IPV, many factors affected IPV risk similarly across sites. Secondary education, high SES, and formal marriage offered protection, while alcohol abuse, cohabitation, young age, attitudes supportive of wife beating, having outside sexual partners, experiencing childhood abuse, growing up with domestic violence, and experiencing or perpetrating other forms of violence in adulthood, increased the risk of IPV. The strength of the association was greatest when both the woman and her partner had the risk factor.

Conclusions

IPV prevention programs should increase focus on transforming gender norms and attitudes, addressing childhood abuse, and reducing harmful drinking. Development initiatives to improve access to education for girls and boys may also have an important role in violence prevention.
Appendix
Available only for authorised users
Literature
1.
go back to reference Garcia-Moreno C, Jansen HA, Ellsberg M, Heise L, Watts CH: Prevalence of intimate partner violence: findings from the WHO multi-country study on women's health and domestic violence. Lancet. 2006, 368 (9543): 1260-1269. 10.1016/S0140-6736(06)69523-8.CrossRefPubMed Garcia-Moreno C, Jansen HA, Ellsberg M, Heise L, Watts CH: Prevalence of intimate partner violence: findings from the WHO multi-country study on women's health and domestic violence. Lancet. 2006, 368 (9543): 1260-1269. 10.1016/S0140-6736(06)69523-8.CrossRefPubMed
2.
go back to reference Mayhew S, Watts C: Global rhetoric and individual realities: linking violence against women and reproductive health. Health policy in a globalising world. Edited by: Lee K, Buse K, S F. 2002, Cambridge: Cambridge University Press, 159-180. Mayhew S, Watts C: Global rhetoric and individual realities: linking violence against women and reproductive health. Health policy in a globalising world. Edited by: Lee K, Buse K, S F. 2002, Cambridge: Cambridge University Press, 159-180.
3.
go back to reference Campbell J, Jones AS, Dienemann J, Kub J, Schollenberger J, O'Campo P, Gielen AC, Wynne C: Intimate partner violence and physical health consequences. Arch Intern Med. 2002, 162 (10): 1157-1163. 10.1001/archinte.162.10.1157.CrossRefPubMed Campbell J, Jones AS, Dienemann J, Kub J, Schollenberger J, O'Campo P, Gielen AC, Wynne C: Intimate partner violence and physical health consequences. Arch Intern Med. 2002, 162 (10): 1157-1163. 10.1001/archinte.162.10.1157.CrossRefPubMed
4.
go back to reference Ellsberg M, Jansen HA, Heise L, Watts CH, Garcia-Moreno C: Intimate partner violence and women's physical and mental health in the WHO multi-country study on women's health and domestic violence: an observational study. Lancet. 2008, 371 (9619): 1165-1172. 10.1016/S0140-6736(08)60522-X.CrossRefPubMed Ellsberg M, Jansen HA, Heise L, Watts CH, Garcia-Moreno C: Intimate partner violence and women's physical and mental health in the WHO multi-country study on women's health and domestic violence: an observational study. Lancet. 2008, 371 (9619): 1165-1172. 10.1016/S0140-6736(08)60522-X.CrossRefPubMed
5.
go back to reference Maman S, Campbell J, Sweat MD, Gielen AC: The intersections of HIV and violence: directions for future research and interventions. Soc Sci Med. 2000, 50 (4): 459-478. 10.1016/S0277-9536(99)00270-1.CrossRefPubMed Maman S, Campbell J, Sweat MD, Gielen AC: The intersections of HIV and violence: directions for future research and interventions. Soc Sci Med. 2000, 50 (4): 459-478. 10.1016/S0277-9536(99)00270-1.CrossRefPubMed
6.
go back to reference Garcia-Moreno C, Watts C: Violence against women: its importance for HIV/AIDS. AIDS. 2000, 14 (Suppl 3): S253-265.PubMed Garcia-Moreno C, Watts C: Violence against women: its importance for HIV/AIDS. AIDS. 2000, 14 (Suppl 3): S253-265.PubMed
7.
go back to reference Jewkes RK, Levin JB, Penn-Kekana LA: Gender inequalities, intimate partner violence and HIV preventive practices: findings of a South African cross-sectional study. Soc Sci Med. 2003, 56 (1): 125-134. 10.1016/S0277-9536(02)00012-6.CrossRefPubMed Jewkes RK, Levin JB, Penn-Kekana LA: Gender inequalities, intimate partner violence and HIV preventive practices: findings of a South African cross-sectional study. Soc Sci Med. 2003, 56 (1): 125-134. 10.1016/S0277-9536(02)00012-6.CrossRefPubMed
8.
go back to reference Dunkle KL, Jewkes RK, Brown HC, Gray GE, McIntryre JA, Harlow SD: Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa. Lancet. 2004, 363 (9419): 1415-1421. 10.1016/S0140-6736(04)16098-4.CrossRefPubMed Dunkle KL, Jewkes RK, Brown HC, Gray GE, McIntryre JA, Harlow SD: Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa. Lancet. 2004, 363 (9419): 1415-1421. 10.1016/S0140-6736(04)16098-4.CrossRefPubMed
9.
go back to reference Koenig MA, Stephenson R, Ahmed S, Jejeebhoy SJ, Campbell J: Individual and contextual determinants of domestic violence in North India. American Journal of Public Health. 2006, 96 (1): 1-7.CrossRef Koenig MA, Stephenson R, Ahmed S, Jejeebhoy SJ, Campbell J: Individual and contextual determinants of domestic violence in North India. American Journal of Public Health. 2006, 96 (1): 1-7.CrossRef
10.
go back to reference Naved RT, Persson LA: Factors associated with spousal physical violence against women in Bangladesh. Studies in Family Planning. 2005, 36 (4): 289-300. 10.1111/j.1728-4465.2005.00071.x.CrossRefPubMed Naved RT, Persson LA: Factors associated with spousal physical violence against women in Bangladesh. Studies in Family Planning. 2005, 36 (4): 289-300. 10.1111/j.1728-4465.2005.00071.x.CrossRefPubMed
11.
go back to reference Parish WL, Wang T, Laumann EO, Pan S, Luo Y: Intimate partner violence in China: National prevalence, risk factors and associated health problems. International Family Planning Perspectives. 2004, 30 (4): 174-181. 10.1363/3017404.CrossRefPubMed Parish WL, Wang T, Laumann EO, Pan S, Luo Y: Intimate partner violence in China: National prevalence, risk factors and associated health problems. International Family Planning Perspectives. 2004, 30 (4): 174-181. 10.1363/3017404.CrossRefPubMed
12.
go back to reference Hindin M, Kishor S, Ansara D: Intimate partner violence among couples in 10 DHS countries: Predictors and health outcomes. DHS Analytical Studies No 18. 2008, Calverton, MD: Macro International Hindin M, Kishor S, Ansara D: Intimate partner violence among couples in 10 DHS countries: Predictors and health outcomes. DHS Analytical Studies No 18. 2008, Calverton, MD: Macro International
13.
go back to reference Stith S, Smith D, Penn C, Ward D, Tritt D: Intimate partner physical abuse perpetration and victimization risk factors: A meta-analytic review. Aggression and Violent Behavior. 2004, 10 (1): 65-98. 10.1016/j.avb.2003.09.001.CrossRef Stith S, Smith D, Penn C, Ward D, Tritt D: Intimate partner physical abuse perpetration and victimization risk factors: A meta-analytic review. Aggression and Violent Behavior. 2004, 10 (1): 65-98. 10.1016/j.avb.2003.09.001.CrossRef
14.
go back to reference Koenig MA, Ahmed S, Hossain MB, Khorshed Alam Mozumder AB: Women's status and domestic violence in rural Bangladesh: individual- and community-level effects. Demography. 2003, 40 (2): 269-288. 10.1353/dem.2003.0014.CrossRefPubMed Koenig MA, Ahmed S, Hossain MB, Khorshed Alam Mozumder AB: Women's status and domestic violence in rural Bangladesh: individual- and community-level effects. Demography. 2003, 40 (2): 269-288. 10.1353/dem.2003.0014.CrossRefPubMed
15.
go back to reference Kishor S, Johnson K: Profiling domestic violence: A multicountry study. 2004, Calverton, Maryland, USA: ORC Macro Kishor S, Johnson K: Profiling domestic violence: A multicountry study. 2004, Calverton, Maryland, USA: ORC Macro
16.
go back to reference Ellsberg M, Heise L, Pena R, Agurto S, Winkvist A: Researching domestic violence against women: methodological and ethical considerations. Stud Fam Plann. 2001, 32 (1): 1-16. 10.1111/j.1728-4465.2001.00001.x.CrossRefPubMed Ellsberg M, Heise L, Pena R, Agurto S, Winkvist A: Researching domestic violence against women: methodological and ethical considerations. Stud Fam Plann. 2001, 32 (1): 1-16. 10.1111/j.1728-4465.2001.00001.x.CrossRefPubMed
17.
go back to reference Heise LL: Violence against women: an integrated, ecological framework. Violence Against Women. 1998, 4 (3): 262-290. 10.1177/1077801298004003002.CrossRefPubMed Heise LL: Violence against women: an integrated, ecological framework. Violence Against Women. 1998, 4 (3): 262-290. 10.1177/1077801298004003002.CrossRefPubMed
18.
go back to reference Urbina: Conflict within intimacy a socio-demographic analysis of male involvement in physical intimate partner violence in Mexico. 2005 Urbina: Conflict within intimacy a socio-demographic analysis of male involvement in physical intimate partner violence in Mexico. 2005
19.
go back to reference Jewkes R: Intimate partner violence: causes and prevention. Lancet. 2002, 359 (9315): 1423-1429. 10.1016/S0140-6736(02)08357-5.CrossRefPubMed Jewkes R: Intimate partner violence: causes and prevention. Lancet. 2002, 359 (9315): 1423-1429. 10.1016/S0140-6736(02)08357-5.CrossRefPubMed
20.
go back to reference WHO: Putting women's safety first: ethical and safety recommendations for research on domestic violence against women. 1999, Geneva: World Health Organization WHO: Putting women's safety first: ethical and safety recommendations for research on domestic violence against women. 1999, Geneva: World Health Organization
21.
go back to reference Hox J: Multilevel analysis: techniques and applications. 2002, New Jersey: Lawrence Erlbaum Associates Hox J: Multilevel analysis: techniques and applications. 2002, New Jersey: Lawrence Erlbaum Associates
22.
go back to reference Messman-Moore TL, Long PJ: The role of childhood sexual abuse sequelae in the sexual revictimization of women - An empirical review and theoretical reformulation. Clin Psychol Rev. 2003, 23 (4): 537-571. 10.1016/S0272-7358(02)00203-9.CrossRefPubMed Messman-Moore TL, Long PJ: The role of childhood sexual abuse sequelae in the sexual revictimization of women - An empirical review and theoretical reformulation. Clin Psychol Rev. 2003, 23 (4): 537-571. 10.1016/S0272-7358(02)00203-9.CrossRefPubMed
23.
go back to reference Fargo JD: Pathways to adult sexual revictimization: direct and indirect behavioral risk factors across the lifespan. J Interpers Violence. 2009, 24 (11): 1771-1791. 10.1177/0886260508325489.CrossRefPubMed Fargo JD: Pathways to adult sexual revictimization: direct and indirect behavioral risk factors across the lifespan. J Interpers Violence. 2009, 24 (11): 1771-1791. 10.1177/0886260508325489.CrossRefPubMed
24.
go back to reference Capaldi D, Kim H, Pears K: The association of partner violence to child maltreatment: A common conceptual framework. Preventing Partner Violence: Research and Evidence-based Intervention Strategies. Edited by: Whitaker DK, Lutzker J. 2009, Washington DC: American Psychological Association Capaldi D, Kim H, Pears K: The association of partner violence to child maltreatment: A common conceptual framework. Preventing Partner Violence: Research and Evidence-based Intervention Strategies. Edited by: Whitaker DK, Lutzker J. 2009, Washington DC: American Psychological Association
25.
go back to reference Andersson N, Cockcroft A, Ansari N, Omer K, Chaudhry UU, Khan A, Pearson L: Collecting reliable information about violence against women safely in household interviews: experience from a large-scale national survey in South Asia. Violence Against Women. 2009, 15 (4): 482-496. 10.1177/1077801208331063.CrossRefPubMed Andersson N, Cockcroft A, Ansari N, Omer K, Chaudhry UU, Khan A, Pearson L: Collecting reliable information about violence against women safely in household interviews: experience from a large-scale national survey in South Asia. Violence Against Women. 2009, 15 (4): 482-496. 10.1177/1077801208331063.CrossRefPubMed
26.
go back to reference Jansen HAFM, Watts C, Ellsberg M, Heise L, Garcia-Moreno C: Interviewer training in the WHO Multi-country Study on Women's Health and Domestic Violence. Violence against Women. 2004, 10 (7): 831-849. 10.1177/1077801204265554.CrossRef Jansen HAFM, Watts C, Ellsberg M, Heise L, Garcia-Moreno C: Interviewer training in the WHO Multi-country Study on Women's Health and Domestic Violence. Violence against Women. 2004, 10 (7): 831-849. 10.1177/1077801204265554.CrossRef
27.
go back to reference Vyas S, Watts C: How does economic empowerment affect women's risk of intimate partner violence in low and middle income country settings?: A systematic review of published evidence. J Int Dev. 2009, 21: 577-602. 10.1002/jid.1500.CrossRef Vyas S, Watts C: How does economic empowerment affect women's risk of intimate partner violence in low and middle income country settings?: A systematic review of published evidence. J Int Dev. 2009, 21: 577-602. 10.1002/jid.1500.CrossRef
28.
go back to reference Straus M, Gelles R, Steinmetz S: Behind closed doors: violence in the American family. 1980, New York: Anchor Press Straus M, Gelles R, Steinmetz S: Behind closed doors: violence in the American family. 1980, New York: Anchor Press
29.
go back to reference DoH: South Africa Demographic and Health Survey 1998: final report. 2002, Pretoria: Department of Health DoH: South Africa Demographic and Health Survey 1998: final report. 2002, Pretoria: Department of Health
30.
go back to reference Harvey A, Garcia Moreno C, Butchart A: Primary prevention of intimate partner violence and sexual violence: Background paper for WHO expert meeting May 2-3, 2007. 2007, Geneva: World Health Organization, Department of Violence and Injuy Prevention and Disability Harvey A, Garcia Moreno C, Butchart A: Primary prevention of intimate partner violence and sexual violence: Background paper for WHO expert meeting May 2-3, 2007. 2007, Geneva: World Health Organization, Department of Violence and Injuy Prevention and Disability
31.
go back to reference Krug EG, Mercy JA, Dahlberg LL, Zwi AB: The world report on violence and health. Lancet. 2002, 360 (9339): 1083-1088. 10.1016/S0140-6736(02)11133-0.CrossRefPubMed Krug EG, Mercy JA, Dahlberg LL, Zwi AB: The world report on violence and health. Lancet. 2002, 360 (9339): 1083-1088. 10.1016/S0140-6736(02)11133-0.CrossRefPubMed
32.
go back to reference Barker G, Ricardo C: Young men and the construction of masculinity in sub-saharan africa: Implications for HIV/AIDS, conflict and violence. Conflict prevention and reconstruction. 2005, Washington D.C.: The World Bank Barker G, Ricardo C: Young men and the construction of masculinity in sub-saharan africa: Implications for HIV/AIDS, conflict and violence. Conflict prevention and reconstruction. 2005, Washington D.C.: The World Bank
33.
go back to reference Barker G, Ricardo C, Nascimento M, Olukoya A, Santos C: Questioning gender norms with men to improve health outcomes: Evidence of impact. Global Public Health: An International Journal for Research, Policy and Practice. 2010, 5: 539-553.CrossRef Barker G, Ricardo C, Nascimento M, Olukoya A, Santos C: Questioning gender norms with men to improve health outcomes: Evidence of impact. Global Public Health: An International Journal for Research, Policy and Practice. 2010, 5: 539-553.CrossRef
34.
go back to reference Foran HM, O'Leary KD: Alcohol and intimate partner violence: a meta-analytic review. Clin Psychol Rev. 2008, 28 (7): 1222-1234. 10.1016/j.cpr.2008.05.001.CrossRefPubMed Foran HM, O'Leary KD: Alcohol and intimate partner violence: a meta-analytic review. Clin Psychol Rev. 2008, 28 (7): 1222-1234. 10.1016/j.cpr.2008.05.001.CrossRefPubMed
35.
go back to reference Gil-Gonzalez D, Vives-Cases C, Alvarez-Dardet C, Latour-Perez J: Alcohol and intimate partner violence: do we have enough information to act?. Eur J Public Health. 2006, 16 (3): 278-284. 10.1093/eurpub/ckl016.CrossRef Gil-Gonzalez D, Vives-Cases C, Alvarez-Dardet C, Latour-Perez J: Alcohol and intimate partner violence: do we have enough information to act?. Eur J Public Health. 2006, 16 (3): 278-284. 10.1093/eurpub/ckl016.CrossRef
36.
go back to reference Leonard KE: Alcohol and intimate partner violence: When can we say that heavy drinking is a contributing cause of violence?. Addiction. 2005, 100: 422-425. 10.1111/j.1360-0443.2005.00994.x.CrossRefPubMed Leonard KE: Alcohol and intimate partner violence: When can we say that heavy drinking is a contributing cause of violence?. Addiction. 2005, 100: 422-425. 10.1111/j.1360-0443.2005.00994.x.CrossRefPubMed
37.
go back to reference Room R: Alcohol in developing societies: A public health approach. 2003, Geneva: World Health Organization Room R: Alcohol in developing societies: A public health approach. 2003, Geneva: World Health Organization
38.
go back to reference Counts D, Brown J, Campbell J: Sanctions and Sanctuary. 1992, Boulder: Westview Press Counts D, Brown J, Campbell J: Sanctions and Sanctuary. 1992, Boulder: Westview Press
Metadata
Title
What factors are associated with recent intimate partner violence? findings from the WHO multi-country study on women's health and domestic violence
Authors
Tanya Abramsky
Charlotte H Watts
Claudia Garcia-Moreno
Karen Devries
Ligia Kiss
Mary Ellsberg
Henrica AFM Jansen
Lori Heise
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2011
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-11-109

Other articles of this Issue 1/2011

BMC Public Health 1/2011 Go to the issue